BSE SECURITY SERVICE APPLICATION FORM

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1 BSE SECURITY SERVICE APPLICATION FORM Employment Opportunities: Apply w!! Please fill out application form completely or send your resume to us at APPLICATION AS * Security Guard Armed Security Guard Event Staff Choose your Job option from here First Name * Middle Name Last Name * * Address *

2 City * State * Zip * Phone * Type of Employment Full-Time Part-Time Temporary Date available for work Please list day and times you are able to work Are you over 18 years of age? * If employed, can you submit verification of your legal right to work in the United States? *

3 Are you able to perform the essential functions of the job for which you are applying with or without reasonable accommodations? * If no, describe the functions that cannot be performed: * Have you ever been convicted of a criminal offense, felony or misdemeanor? * If your answer is "," explain in concise detail on a separate page, giving dates and nature of the offense, name and location of the court, and disposition of the case(s). A conviction may not disqualify you, but a false statement will. Emergency Contact Information: First Name Emergency Contact : Last Name Emergency Contact : Phone Number

4 Emergency Contact : Address Emergency Contact : City Emergency Contact : State Emergency Contact : Relation EDUCATION : High School Graduate or GED? * (te: Applicants may be required to provide proof of diploma, degree, certifications, and registrations.) If yes, name and location of high school or GED Institute Below: Types Of School Undergraduate College Universities Name & Location of School Dates Attended : From

5 Dates Attended : To Date Graduated Expected Graduation Date Sem/Clock Hours Completed Type of Diploma or Degree Major/Minor Fields of Study Type of School Graduate Schools Name & Location of School Dates Attended : From Dates Attended : To

6 Date Graduated Expected Graduation Date Sem/Clock Hours Completed Type of Diploma or Degree Major/Minor Fields of Study Type of School Technical or Vocational Schools Name & Location of School Dates Attended : From Dates Attended : To Date Graduated

7 Expected Graduation Date Sem/Clock Hours Completed Type of Diploma or Degree Major/Minor Fields of Study SKILLS : Do you speak, write, or understand any foreign language? If which? Specific skills or training: What knowledge, special skills, and/or individual capabilities do you have which especially prepared you for the position applied for?

8 EMPLOYMENT: Experience: Please account for all employment within the last seven (7) years, beginning with your current or more recent employer. In addition, please indicate any other experience which you believe is relevant to the position for which you are applying (e.g., volunteer experience, military service, experience gained over seven (7) years prior, etc.) Attach an additional sheet if extra space is needed. Answer the following questions. If you are applying for a professional, licensed, or certified position. Are you license/certified for the job applied for? Gun Permit: Registration Number Guard Card: Registration Number

9 Driver s License: License Number: Has your license/certification ever been revoked or suspended? If yes, explain: Position Title: Employer: Mailing Address: City/State/Zip:

10 Employee Phone Current/Final Salary: Position Type n-managerial Position Supervisory/Managerial Position Start Date End Date Immediate Supervisor s Name: Title Supervisor Name Type Full-Time Part-Time Temporary

11 #Hours of worked/week Summary of experience including special training/skills/qualifications you have used in the performance of this job: Specific reason for leaving: Position Title: Employer: Mailing Address:

12 City/State/Zip: Employee Phone Current/Final Salary: Position Type n-managerial Position Supervisory/Managerial Position Start Date End Date Immediate Supervisor s Name: Title Supervisor Name

13 Type Full-Time Part-Time Temporary #Hours of worked/week Summary of experience including special training/skills/qualifications you have used in the performance of this job: Specific reason for leaving: PRE-EMPLOYMENT CERTIFICATION (Post Initials Here) 1. The information that I have provided on this application is accurate to the best of my knowledge and may be verified by the Company or its agents. 2. I authorize all the schools, persons and organizations named in the application to provide any relevant information in their possession or knowledge to the agents of the Company, for use in deciding whether or

14 not to offer me employment and specifically waive any required written notification. 3. I understand and agree that any misrepresentation or omission of facts in this application will be justification for refusal or termination of employment, regardless of the time elapsed before discovery. 4. I understand and agree that the employment for which I am applying is and is intended to be at-will and such employment may be terminated at any time with or without cause, without prior notice, by either myself or the Company. There will be no agreement, expressed or implied, between the Company and me for any specific period of employment, nor for continuing or long term employment unless made in writing, and signed by an authorized representative of the Company. If employed I understand that I will be required to possess a current and valid California Guard Card If my position requires me to have one. Date * Signatured Date